Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $36.31 / $81.28	Facility		$10.96	$36.31	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $29.51	Professional		$10.00	$12.88	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $37.15	Professional		$19.05	$29.51	$37.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $38.02 / $66.07	Professional		$15.49	$38.02	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $19.95 / $48.98	Facility		$15.49	$19.95	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $18.62 / $40.74	Professional		$9.33	$18.62	$40.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.95 / $138.04	Professional		$18.62	$19.95	$138.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $33.88	Facility		$15.49	$15.49	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $37.15	Professional		$9.33	$12.88	$37.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $15.49	Professional		$12.30	$15.49	$15.49